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Pafford Medical Services · 1 month ago

Medicare Billing Associate-Hybrid

Oklahoma City, OK

Full-time

Hybrid

New Grad, Entry Level

Pafford Medical Services is accepting applications for a Medicare Billing Associate in Oklahoma City. The role involves processing, researching, analyzing, and managing ambulance claims for assigned payor types while ensuring compliance with healthcare regulations.

Hospital & Health Care

Responsibilities

Ensure claims are billed on a timely basis

Monitor postings and billing to ensure accuracy and compliance with company policies and healthcare regulations

Work with commercial insurance, Medicare, Medicaid, HMO's and clients to collect all balances

Manage actions related to delinquent accounts and minimizes write-offs

Provide technical assistance to staff for training purposes and problem solving

Achieve performance goals and objectives (individual or departmental) as established by the manager

Manage resources to meet department goals

Communicate effectively with all levels of staff

Other tasks as needed

Qualification

Medicare billing knowledgeMedicaid billing knowledgeInsurance portal experienceICD-10 knowledgeHIPAA knowledgeMedical terminologyWork independentlyEffective communication

Required

Knowledge of Medicare, Medicaid, private insurance, HMO's and hospice billing

Analyzed accounts receivable for accuracy and filed reconsideration on denied claims

Submit, adjust, and void Medicare and Medicaid claims efficiently

Experience working with insurance portals

Knowledge of Health Insurance Portability and Accountability Act (HIPAA)

Knowledge of medical terminology

Ability to work independently and with a group

High School Diploma or equivalent

Must have access to high-speed internet-at least 20mbps download, and must be hardwired

In person and hybrid in the Oklahoma City area

Ability to safely and successfully perform the essential job functions consistent with the ADA, FMLA and other federal, state and local standards, including meeting qualitative and/or quantitative productivity standards

Ability to maintain regular, punctual attendance consistent with the ADA, FMLA and other federal, state and local standards

The employee may occasionally be required to lift and/or move up to 20 pounds

Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus

Work may require sitting, lifting, stooping, bending, stretching, walking, standing, pushing, pulling, reaching, and other physical exertion

Must be able to talk, listen and speak clearly on telephone

Must possess visual acuity to prepare and analyze data and figures, operate a computer terminal, and operate a motor vehicle